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, . :., II <br /> - I <br /> , �����,:�����.������.��� ���� ��������, ..... ; <br /> If abo�ve does not apply;follow guidelines below: <br /> 1. CONTRACT PR10E * is 1.25% contract price with a(Minimum Fee of$50.00) <br /> � ��� - ,� <br /> , X.oi2s $ <br /> (contract price) (minimum$50.0 ) <br /> � 2. STATE SURCHARGE � � <br /> �� �d �� X.000s $ <br /> (contract price) <br /> I 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> ! 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �) ( ' <br /> ■ * ONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged or the <br /> p itted work including materials, labor,profit, and other fixed costs. It is the amount to be c arged <br /> to the customer for the work done. If any material, equipment, (abor or installations are furnis ed by <br /> th owner, tenant or any other party, the reasonable market value of such items must be added to the <br /> es imated cost or contract price for permit fee purposes. In the event that there is a dispute n the <br /> a ount of the job cost, the City may reyuest the submission of a signed copy of the actuai c tract. <br /> PLLIM�3I�iC'a �?��I�ITT AF"PI.I��`Ti+Q�,A.C'..iR���VTE1��I <br /> The urhdersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to o all <br /> work n strict accordance with the ordinances of the City and the regulations of the St te of <br /> Minne ota, and certifies that all statements made on this application are complete, tru and <br /> correc . �/� <br /> Applicant's Signature: / Date: /�/��' ^ <br /> l �R£S�'� F,O�'t11 <br /> � � <br /> � <br /> � <br /> 3 <br />